| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.16 | $91.16 | $91.16 | |
Aetna
| Professional | $84.98 | $87.24 | $114.34 | |
CareSource
| Facility | $130.51 | $238.21 | $308.79 | |
CareSource
| Professional | $114.69 | $140.55 | $240.95 | |
Cigna
| Facility | $121.82 | $121.82 | $235.30 | |
Cigna
| Professional | $88.93 | $121.82 | $956.14 | |
United
| Professional | $73.78 | $88.03 | $138.10 |